Active NPI
Mary Renfro, CFM
- Mastectomy Fitter
- Charlotte, NC
National Provider Identifier
1376957308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- 02849
- Practice address
- 8310 Medical Plaza Dr
Ste C
Charlotte, NC 28262-6701 - Phone
- (704) 510-1300
- Fax
- (704) 510-1311
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | 02849 | NC | Primary |
Addresses
Primary practice location
8310 Medical Plaza Dr
Ste C
Charlotte, NC 28262-6701
Mailing address
2800 Saint Leos St
Greensboro, NC 27405-3382
Phone (336) 621-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02849 | NC | MD | Mastectomy Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1376957308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SAINT LEOS ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053382",
"telephone_number": "336-621-9500",
"fax_number": "336-621-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 MEDICAL PLAZA DR",
"address_2": "STE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626701",
"telephone_number": "704-510-1300",
"fax_number": "704-510-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFRO",
"first_name": "MARY",
"credential": "CFM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "NC",
"license": "02849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Renewed Vision Family & Community & Mental Health Services, Inc.
- Renewed Vision Family, Community and Mental Health Services
- Renewed Vision Personal & Career Counseling/Consulting
- Renewing Families, LLC
- Cameron Lily Susan Renfro
- Stephen Ford Renfrow Jr., MD
- Sarah Renn, RDN, LDN
- John Hamlin Rennick Jr., MD
- Stephen Louis Rennyson, MD
- Renoptics Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.